Common use of Enrollee Handbook Clause in Contracts

Enrollee Handbook. Insurer shall provide an Enrollee handbook based on the model Enrollee handbook provided by FHKC. Insurer shall customize such material to the extent permitted or required by FHKC. The handbook shall include the following elements: a. A description of benefits and any associated cost sharing sufficient to ensure that Enrollees understand the benefits covered by this Contract, including the scope, amount, duration, and limitations associated with a Covered Service. b. A description of how to access services, including any requirements for prior authorization of any services, referrals for specialty care, or any other restrictions on choice among network Providers. c. Disclosure of any services Insurer does not cover because of moral or religious objections and instructions about how to obtain information from FHKC about how to access any such services.